NPIMap

Organization Active NPI

Mary Lynn Thieneman

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1538340690
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0885 Issued in KY
Legal business name
MARY LYNN THIENEMAN
Practice address
8521 Lagrange Rd
Louisville, KY 40242-3800
Phone
(502) 644-5433
Fax
(502) 814-3745
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Lynn Thieneman, LCSW, LMFTNPI 1235223751
Title
Owner
Phone
(502) 644-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0885 KY Primary

Addresses

Primary practice location

8521 Lagrange Rd
Louisville, KY 40242-3800

Mailing address

Post Office Box 22816
Louisville, KY 40252-0816
Phone (502) 644-5433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1538340690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 22816",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402520816",
            "telephone_number": "502-644-5433",
            "fax_number": "502-814-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 LAGRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-644-5433",
            "fax_number": "502-814-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYNN THIENEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "THIENEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-644-5433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.